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UPPLE <br /> ZONING PERMIT APPLICATION .. I . dane.com <br /> A hp- <br /> MENT to W.b-APP # <br /> • <br /> PROPERTY OWNER INFORMATION CUSTOMER To PROVIDE <br /> oWNE NAME <br /> V e- P A I &ail' lir I--L-C- 0 Zoning Status;CUP; <br /> IA A. - Deed Restriction;CSM <br /> °w:ErOmlas './1.A Ad; . eb lb" a) • "I ) i)# Lt' C 551/ Variance 0,_----) <br /> H? Eii • — <br /> ce r• .., , a CELL PISCINE &MAL ADDRESS <br /> 0 Site Min drawn 10 Sale <br /> . <br /> AGENT INFORMATION CONTRACTOR INFORMATION and includes dimonalonS <br /> ASSENT NAME CONTRACTOR NAME <br /> ' 11 Ak, Ad ti i.1/1 0 Site Plan including location • <br /> 77.-T ADDRESS CONTRACTOR ADDRESS of weWseptic <br /> • <br /> (Ct%owns) ply,am*zIM 0 Setbacks <br /> PHONE ' 0 Site Plan approval from <br /> PHONE <br /> . applcabIs tOWDShiP; <br /> E-MAILADDRESS EIMILADDRESS 0 Floor plans to sae <br /> PROPERTY LOCATION INFORMATION (http acce•,-,ciane co.dane v+.1 LI-.. 0 EilWatiOn Of PrOPertY <br /> PARENT PARCEL WISER: r.--1-17T-• <br /> * ino <br /> o ! ° <br /> 0 510 Le 3 2 2_50 ... fronteg• w Scale' <br /> TOWNSHIP: W P441 SECTON: 0 Drivetny permits <br /> _______ 14: ___ Vai:____.--- ($tate.county,town) <br /> 2- I 4— (Alt Au ill .. LE.4 0 SIIIIWY Penni° <br /> CIMA: • • ON • • (RIble Print.) <br /> 0 Ilgfidgis, <br /> PROPOSED PROJECT INFORMATION <br /> PROJECT • . M (.) CA-71Ante--11 fr <br /> • II Is project is•new building or structure. <br /> SANITARY <br /> UMW:EWER 0 some WiiiitgE1/111111111 <br /> HEIGHT IN PER ..--I NUMBER OF STORES: Nol Including basoment) <br /> .6.15 ...- . . <br /> AREA TO NEAREST SQUARE FOOT: <br /> (Outside dimensions including Onlinished area,attached garages and above grade decks or porches) <br /> RAMMER 1111 FLOOlt1:1= - <br /> 99° 4111-69- /638 TOTAL SQUARE FOOTAGE 4 <br /> 9 9 ,i- 3RD FLOOR: <br /> • 'Kr <br /> ....., ; ,se.0___Lilajm. <br /> ESTIMATED CONSTRUCTION COST t. /) <br /> I <br /> (Mese round to newest&Mr) -■ •••■• —0. •• —■ •-l■ # A , •■•41.• <br /> 1• The property is within 300 feet of a stream or 1000 feet from a pond or lake?........... 0Yes .C3 Pmit know <br /> 2. Is there a wetland or loodplain on or near the property?............................................ C3 . No C:1 MI knchv <br /> 3. Have you talked with the lovmship about your project and are they in agreement?.... Dies 9yo <br /> 4. Hes there been a zoning permit issued for this property in the past 5 years?............. 0Yes IIDNo <br /> 5. Is this project associated with a rezone/CUP/variance(petition/appeal ft ____.) blank if( reverse) 3s none) <br /> .... yis az 1:-.3 Don't know <br /> 5. Is a location survey requked? see <br /> 7. is this to correct a violation? ........................... CI Yell <br /> APPUCATION Warr SE VOWED <br /> Mendnue an swam* + -■ -, <br />